Fiber bronchoscopic mirror and catheter intervention in the treatment of endobronchial tuberculosis: clinical analysis of 12 cases. Among these cases, according to the literature typing methods, there were 3 cases of infiltrative type, 5 cases of proliferative type, 3 cases of ulcer scar stenosis, 1 case of mobile type, and 3 cases where pulmonary Zhang Zhe saw that the lobe bronchial lumen was completely obstructed by a tumor with white necrotic material on the tumor surface.
Confirmed basis: biopsy approved in 5 cases, brushing smear finding of acid-fast bacilli in 7 cases.
Therapeutic approaches: conventional chemotherapy regimens (2HRZS/4HRE) treatment during the strengthening phase only, every 3-5 days fiber bronchoscopic catheter interventional treatment once, until lesion absorption.
Methods: preoperative 2% lidocaine spray anesthesia, under electrocardiographic monitoring nasal insert fiber bronchoscopic mirror, a biopsy from fiber insertion hole diameter 2mm heart catheterization, followed by injection of levofloxacin 20ml, amikacin 0.2, isoniazid for 0.1, with focal segmental bronchus.
The fetal head suction for the failure analysis of 21 cases Feng Yumei 476900 Henan province Suixian Maternal and Child Health Hospital Department of Obstetrics and Gynecology fetal head suction operation is a special attraction device arranged on the fetal head, forming negative pressure after sucking at the fetal head above and assisting extraction of the fetal head operation. ...
The correct use of fetal head suction technique can resolve dystocia, shorten the birth process, save the child's life; otherwise it may cause maternal and neonatal complications. In our hospital, from 1985 onwards, 21 cases of fetal head suction operation failures were analyzed in order to learn. Report as follows now: Clinical data, general information: pregnant women ages 23 to 34 years old, average 28 years old. Gestational weeks 39 to 43 weeks, among which 5 cases of prolonged pregnancy. Neonatal body weight 3400 ~ 5050g, 9 cases of huge infants reported. Fetal head suction surgical indications for 11 cases of fetal distress in uterus, maternal factors need to shorten the second stage of labor in 4 cases, uterine atony, prolonged second stage of labor in 6 cases. Failure criteria for fetal aspiration two times or more leading to modified cesarean section, or neonatal, maternal death and serious complication, both the preoperative routine episiotomy, postoperative check fetal head S & #, 183； 43&； # 183；
Outcome of interventional therapy: 2 times after the chest is able to alleviate, 5 cases of patients with fever had their temperature dropped to normal, 3 cases of patients by 4 after interventional therapy _ r cheese necrotic material and proliferation of granulation disappeared, cartilage rings visible in 3 cases of pulmonary atelectasis patients after 2 times of treatment of partial reexpansion, after 8 times of treatment after complete reexpansion, 1 case of scar stenosis with poor efficacy.
Discussion on EBTB: Tuberculosis is common and the incidence among pulmonary tuberculosis patients accounts for about 10% ~ 60%, a small number of cases may have separate pathogenesis. Therapy by systemic medication and atomization is difficult to achieve good curative effect. Research shows, fiber bronchoscopic mirror catheter interventional therapy improves lesion local drug concentration, and has clear bronchial drainage, improving promotion focus absorption effect, especially suitable for ulcerative necrosis and proliferation of granulation type. This group of cases of tuberculosis in recent therapeutic effect, high curative effect and improve ventilation, may [LJ in ofloxacin in addition to antituberculous effect, there is a strong bactericidal action, for the treatment of pulmonary infection, improve clinical symptoms, but also plays a certain role.
In conclusion, fiber bronchoscopic mirror catheter intervention and intralesional injection of anti-tuberculosis drugs is currently a good way to treat EBTB, valuable, worthy of clinical application.